Filing Details
- Accession Number:
- 0001144204-15-055445
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2015-09-17 16:01:05
- Reporting Period:
- 2015-09-15
- Filing Date:
- 2015-09-17
- Accepted Time:
- 2015-09-17 16:01:05
- SEC Url:
- Form 4 Filing
Issuer
Cik | Name | Symbol | Sector (SIC) | IRS No |
---|---|---|---|---|
771999 | Document Security Systems Inc | DSS | Paperboard Containers & Boxes (2650) | 161229730 |
Insiders
Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
---|---|---|---|---|---|---|---|
1215183 | B Robert Fagenson | C/O Document Security Systems, Inc. 28 East Main Street, Suite 1525 Rochester NY 14614 | Yes | No | No | No |
Reported Non-Derivative Transactions
Sec. Name | Acquisiton - Disposition | Date | Amount | Price | Remaning Holdings | Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|---|---|---|---|---|---|
Common Stock | Acquisiton | 2015-09-15 | 454,545 | $0.22 | 1,335,321 | No | 4 | P | Direct |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | P | Direct |
Reported Derivative Transactions
Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
---|---|---|---|---|---|---|---|
Common Stock | Warrant | Acquisiton | 2015-09-15 | 90,909 | $0.00 | 90,909 | $0.40 |
Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
---|---|---|---|---|---|---|
90,909 | 2016-03-16 | 2020-03-16 | No | 4 | P | Direct |
Footnotes
- Does not include, as previously reported on Form 4, 100,000 shares of the Issuer's common stock ("Common Stock") owned by the Reporting Person's spouse, 50,000 shares of Common Stock owned by a trust for the benefit of Stephanie Fagenson, and 50,000 shares of Common Stock owned by a trust for the benefit of Jennifer Fagenson.
- Warrant issued at no additional cost in connection with the Reporting Person's purchase of 454,545 shares of Common Stock from the Issuer.